Gennine Castaneda, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1980-154 Issued in WI

Practice address

3401 Maple Grove Dr
Madison, WI 53719-5013

Phone

(608) 845-1000

Fax

(608) 845-1001

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Gennine Shemanski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1306991898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 PIZARRO CIR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191893",
            "telephone_number": "608-848-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 MAPLE GROVE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537195013",
            "telephone_number": "608-845-1000",
            "fax_number": "608-845-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "GENNINE",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "1980 154",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1980-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42783300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENNINE",
            "last_name": "SHEMANSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cecily Catherine Cassel, PA-C
• Theresa Cassel
• Melanie Rose Cassidy, RN
• Conrad Douglas Cassie, M.D.
• Cameron Alissa Casson, MD
• Illyanna Castaneda, DPT
• David Bradley Casteel, DDS
• David William Castellanos, PAC
• Kathy Jeanette Castille- Aliffi, APNP
• Jill Castillo, LCSW CADCIII

• Speech-Language Pathologist in Madison, WI
• Providers in Madison, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.